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Detection of IgM Antibodies Directed Towards Chikungunya Virus by IFA

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Requisition Forms

Reference Details

Description:

Serological detection of IgM antibodies directed towards Chikungunya virus using the Euroimmun anti-chikungunya virus indirect immunofluorescence test.

Test Category:
Serology
Pathogen:
Chikungunya virus (CHIK)
Laboratory:
Illnesses and Diseases:
  • Chikungunya fever
Specimen:

Serum. Minimum volume of  250 ul required.

Collection Method:

Collect blood in serum separator tubes.

Specimen Processing, Storage and Shipping:

Store samples refrigerated or frozen until shipped for testing. Ship samples on a cold pack, or with wet or dry ice.

Transportation of Dangerous Goods:

Shipping of specimens shall be done by a TDG certified individual in accordance with TDG regulations. For additional information regarding classification of specimens for the purposes of shipping, consult either Part 2 Appendix 3 of the TDG Regulations or section 3.6.2 of the IATA Dangerous Goods Regulations as applicable.

Patient Criteria:

Suspected chikungunya virus infection and relevant travel history.

Accompanying Documentation:

Completed Viral Zoonoses requisition including sender laboratory name, address and telephone number. Patient name and / or identifier (specimen reference number), date of birth, test(s) requested, collection date of specimen, date of on-set of symptoms, type of specimen, and clinical and travel history of patient.

Comments:

N/A

Methods and Interpretation of Results:

1. The detection of chikungunya IgG antibody in a single sera is indicative of past or present exposure to this agent. The presence of chikungunya specific IgM in a single serum sample is consistent with an acute infection to this agent and meets the criteria for a "probable case". However, a 4 fold rise or greater in neutralizing antibody titre, or an IgG or IgM seroconversion in paired sera, is required to document a "confirmed case" of infection with associated illness.

2. There is increasing evidence for IgM persistence in blood/serum for up to a year or more after arbovirus (Eg. members of the Flavivirus, alphavirus, and bunyavirus arthropod borne virus groups) exposure. Thus, detection of IgM by itself may not always be a confirmation of acute infection.  
3. Isolation of an arbovirus, or detection of arboviral antigen or nucleic acid in a clinical specimen would constitute firm evidence of viral association with illness and provide "confirmed case" status.
Turnaround Time:

14 calendar days

Contact:
Phone #: (204) 789-6071
Fax: (204) 789-2082
References:
  1. Johnson, A.J., Martin, D.A., Karabatsos, N., and Roehrig, J.T. Detection of anti-arboviral immunoglobulin G by using a monoclonal antibody-based capture enzyme-linked immunosorbent assay. J. Clin. Micro. 38; 1827-1831.
Guidelines:
Related Information: